Total Payments
$290,155
2024 Payments
$119,194
Companies
32
Transactions
517
Medicare Patients
3,900
Medicare Billing
$306,539
Payment Breakdown by Category
Consulting$122,008 (42.0%)
Royalty/License$92,922 (32.0%)
Travel$43,994 (15.2%)
Food & Beverage$11,803 (4.1%)
Other$11,250 (3.9%)
Education$8,022 (2.8%)
Gifts$157.33 (0.1%)
Payments by Nature
| Nature of Payment | Amount | Transactions | Share |
|---|---|---|---|
| Consulting Fee | $122,008 | 56 | 42.0% |
| Royalty or License | $92,922 | 15 | 32.0% |
| Travel and Lodging | $43,994 | 125 | 15.2% |
| Food and Beverage | $11,803 | 305 | 4.1% |
| Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program | $11,250 | 5 | 3.9% |
| Education | $8,022 | 9 | 2.8% |
| Gift | $157.33 | 2 | 0.1% |
Top Paying Companies
| Company | Total | Records | Latest Year |
|---|---|---|---|
| VILEX LLC | $155,838 | 97 | $0 (2024) |
| MedShape, Inc. | $56,408 | 83 | $0 (2024) |
| Arthrex, Inc. | $18,717 | 39 | $0 (2024) |
| Medical Device Business Services, Inc. | $14,867 | 7 | $0 (2021) |
| Wright Medical Technology, Inc. | $9,871 | 112 | $0 (2020) |
| Synthes USA Products LLC | $9,009 | 7 | $0 (2022) |
| Trilliant Surgical LLC. | $9,005 | 20 | $0 (2024) |
| Liberty Surgical, Inc | $5,550 | 18 | $0 (2019) |
| Stryker Corporation | $3,358 | 75 | $0 (2024) |
| Eclipse Technology Solutions Inc. | $2,545 | 18 | $0 (2024) |
Payment History by Year
| Year | Amount | Transactions | Top Company |
|---|---|---|---|
| 2024 | $119,194 | 115 | VILEX LLC ($85,322) |
| 2023 | $95,359 | 116 | VILEX LLC ($55,461) |
| 2022 | $12,751 | 53 | Trilliant Surgical LLC. ($5,033) |
| 2021 | $32,985 | 44 | Vilex LLC ($13,647) |
| 2020 | $1,478 | 16 | Arthrex, Inc. ($1,000) |
| 2019 | $12,507 | 89 | Wright Medical Technology, Inc. ($5,309) |
| 2018 | $8,998 | 41 | Liberty Surgical, Inc ($4,495) |
| 2017 | $6,883 | 43 | Arthrex, Inc. ($2,925) |
All Payment Transactions
517 individual payment records from CMS Open Payments — Page 1 of 21
| Date | Company | Product | Nature | Form | Amount | Type |
|---|---|---|---|---|---|---|
| 12/31/2024 | VILEX LLC | ALPHALOK Recon - R&D (Device) | Royalty or License | Cash or cash equivalent | $14,879.80 | General |
| Category: Orthopedics | ||||||
| 12/31/2024 | VILEX LLC | ALPHALOK Recon - R&D (Device) | Royalty or License | Cash or cash equivalent | $209.10 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Consulting Fee | Cash or cash equivalent | $5,200.00 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Travel and Lodging | Cash or cash equivalent | $3,880.00 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Travel and Lodging | Cash or cash equivalent | $96.00 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Travel and Lodging | Cash or cash equivalent | $48.00 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Food and Beverage | Cash or cash equivalent | $34.50 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Travel and Lodging | Cash or cash equivalent | $28.00 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Food and Beverage | Cash or cash equivalent | $21.66 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Food and Beverage | Cash or cash equivalent | $19.73 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Food and Beverage | Cash or cash equivalent | $15.21 | General |
| Category: Orthopedics | ||||||
| 12/12/2024 | VILEX LLC | ALPHALOK Ankle Fusion - R&D (Device) | Food and Beverage | Cash or cash equivalent | $14.56 | General |
| Category: Orthopedics | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail (Device), DynaNail Helix, Washer, 15 mm | Consulting Fee | Cash or cash equivalent | $3,825.00 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail (Device), DynaNail Helix, Washer, 15 mm | Consulting Fee | Cash or cash equivalent | $2,975.00 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail Helix, Washer, 15 mm (Device), DynaNail | Consulting Fee | Cash or cash equivalent | $2,125.00 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail (Device), DynaNail Helix, Washer, 15 mm | Travel and Lodging | Cash or cash equivalent | $1,085.95 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail Helix, Washer, 15 mm (Device), DynaNail | Travel and Lodging | Cash or cash equivalent | $96.00 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail (Device), DynaNail Helix, Washer, 15 mm | Food and Beverage | Cash or cash equivalent | $30.02 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail (Device), DynaNail Helix, Washer, 15 mm | Food and Beverage | Cash or cash equivalent | $16.99 | General |
| Category: Joint Implants | ||||||
| 12/10/2024 | MedShape, Inc. | DynaNail Helix, Washer, 15 mm (Device), DynaNail | Food and Beverage | Cash or cash equivalent | $6.50 | General |
| Category: Joint Implants | ||||||
| 12/06/2024 | VILEX LLC | HINTERMANN (Device) | Travel and Lodging | Cash or cash equivalent | $850.95 | General |
| Category: Orthopedics | ||||||
| 12/06/2024 | VILEX LLC | HINTERMANN (Device) | Travel and Lodging | Cash or cash equivalent | $292.15 | General |
| Category: Orthopedics | ||||||
| 12/06/2024 | VILEX LLC | HINTERMANN (Device) | Food and Beverage | Cash or cash equivalent | $215.21 | General |
| Category: Orthopedics | ||||||
| 12/06/2024 | VILEX LLC | HINTERMANN (Device) | Travel and Lodging | Cash or cash equivalent | $66.67 | General |
| Category: Orthopedics | ||||||
| 12/05/2024 | Stryker Corporation | AUGMENT INJECTABLE (Device) | Food and Beverage | In-kind items and services | $3.58 | General |
| Category: BONE SUBSTITUTES | ||||||
Medicare Billing by Year
| Year | Procedures | Beneficiaries | Services | Submitted | Medicare Paid |
|---|---|---|---|---|---|
| 2023 | 16 | 1,194 | 1,718 | $412,950 | $100,305 |
| 2022 | 11 | 1,057 | 1,425 | $247,073 | $85,387 |
| 2021 | 14 | 973 | 1,266 | $215,743 | $77,015 |
| 2020 | 9 | 676 | 942 | $138,185 | $43,832 |
Total Patients
3,900
Total Services
5,351
Medicare Billing
$306,539
Procedure Codes
50
All Medicare Procedures & Services
50 procedure records from CMS Medicare Utilization — Page 1 of 2
| HCPCS | Description | Setting | Year | Patients | Services | Charges | Medicare Paid | Ratio |
|---|---|---|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2023 | 267 | 420 | $109,623 | $29,726 | 27.1% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2023 | 251 | 251 | $82,842 | $20,962 | 25.3% |
| 73630 | X-ray of foot, minimum of 3 views | Office | 2023 | 186 | 277 | $30,100 | $7,745 | 25.7% |
| 28750 | Fusion of big toe at joint with foot | Facility | 2023 | 16 | 16 | $37,936 | $7,542 | 19.9% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2023 | 49 | 56 | $20,749 | $5,330 | 25.7% |
| 73610 | X-ray of ankle, minimum of 3 views | Office | 2023 | 110 | 160 | $18,480 | $4,842 | 26.2% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2023 | 31 | 31 | $15,512 | $4,284 | 27.6% |
| 20680 | Removal of deep implant from bone | Facility | 2023 | 13 | 13 | $23,875 | $3,535 | 14.8% |
| 27786 | Closed treatment of broken outside lower leg bone at ankle | Office | 2023 | 11 | 11 | $10,538 | $2,997 | 28.4% |
| 28470 | Closed treatment of broken bone in forefoot or midfoot | Office | 2023 | 17 | 17 | $11,630 | $2,984 | 25.7% |
| 20600 | Aspiration and/or injection of fluid from small joint | Office | 2023 | 51 | 66 | $11,728 | $2,732 | 23.3% |
| 28285 | Correction of toe joint deformity | Facility | 2023 | 11 | 12 | $18,411 | $2,253 | 12.2% |
| 20605 | Aspiration and/or injection of fluid from medium joint | Office | 2023 | 37 | 50 | $8,665 | $2,156 | 24.9% |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | Office | 2023 | 113 | 300 | $6,054 | $1,484 | 24.5% |
| 20550 | Injection into tendon or ligament | Office | 2023 | 19 | 26 | $4,745 | $1,168 | 24.6% |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | Office | 2023 | 12 | 12 | $2,062 | $565.92 | 27.4% |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | Office | 2022 | 253 | 443 | $76,723 | $31,742 | 41.4% |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | Office | 2022 | 262 | 262 | $67,334 | $22,495 | 33.4% |
| 73630 | X-ray of foot, minimum of 3 views | Office | 2022 | 166 | 234 | $21,060 | $6,737 | 32.0% |
| 28750 | Fusion of big toe at joint with foot | Facility | 2022 | 13 | 13 | $27,105 | $6,185 | 22.8% |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | Office | 2022 | 54 | 55 | $13,970 | $5,758 | 41.2% |
| 73610 | X-ray of ankle, minimum of 3 views | Office | 2022 | 91 | 117 | $10,530 | $3,536 | 33.6% |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | Office | 2022 | 24 | 24 | $9,312 | $2,804 | 30.1% |
| 20600 | Aspiration and/or injection of fluid from small joint | Office | 2022 | 35 | 47 | $7,100 | $2,122 | 29.9% |
| 20550 | Injection into tendon or ligament | Office | 2022 | 32 | 39 | $6,665 | $1,862 | 27.9% |
About Dr. Spencer Monaco, DPM
Dr. Spencer Monaco, DPM is a Foot & Ankle Surgery healthcare provider based in West Chester, Pennsylvania. This provider has been registered with the National Plan and Provider Enumeration System (NPPES) since 06/26/2013. The National Provider Identifier (NPI) number assigned to this provider is 1356781090.
According to the Centers for Medicare & Medicaid Services (CMS) Open Payments database, Dr. Spencer Monaco, DPM has received a total of $290,155 in payments from pharmaceutical and medical device companies, with $119,194 received in 2024. These payments were reported across 517 transactions from 32 companies. The most common payment nature is "Consulting Fee" ($122,008).
As a Medicare-enrolled provider, Monaco has provided services to 3,900 Medicare beneficiaries, totaling 5,351 services with total Medicare billing of $306,539. Data is available for 4 years (2020–2023), covering 50 distinct procedure/service records.
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Practice Information
- Specialty Foot & Ankle Surgery
- Location West Chester, PA
- Active Since 06/26/2013
- Last Updated 08/21/2019
- Taxonomy Code 213ES0103X
- Entity Type Individual
- NPI Number 1356781090
Products in Payments
- ALPHALOK Recon - R&D (Device) $51,875
- HINTERMANN (Device) $38,437
- ALPHALOK (Device) $25,387
- ALPHALOK Ankle Fusion - R&D (Device) $23,558
- DynaNail Helix, Washer, 15 mm (Device) $17,849
- VA-LCP (Device) $15,180
- DynaNail (Device) $9,648
- DynaNail Mini (Device) $8,551
- Arsenal Ankle 10 Hole 1/3 Tubular Plate (Device) $8,124
- RD Met Fx (Device) $5,365
- INFINITY (Device) $4,713
- RD Ankle Fx (Device) $4,000
- DYNEX (Device) $3,765
- SALVATION (Device) $3,425
- Lapidus Correction Jig, Right (Device) $2,619
- FLEXBAND (Device) $2,063
- Met FX (Device) $1,808
- VA-LCP PLATES & SCREWS (Device) $1,800
- DynaClip Bone Fixation System, Quattro, 22mm x 20mm x 20mm (Device) $1,682
- Anchorage (Device) $1,120
Explore
Data Sources
Provider data from NPPES. Payment data from CMS Open Payments. Medicare data from CMS Medicare Provider Utilization. All data is public and updated periodically.
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